Main contents of Sanming medical reform

The main contents of Sanming medical reform include: reforming the overall linkage, improving the economic policy of medical reform, improving the internal incentive and restraint mechanism of hospitals, and promoting the sinking of medical resources.

1, overall linkage of reform

Sanming Municipal Party Committee and Municipal Government attach great importance to medical reform. The top leaders of the party and government personally grasped the medical reform to the end, and a responsible comrade of the government was in charge of medical care, medical insurance and medicine, coordinating the linkage reform of "three medicines" and carrying out centralized drug procurement. The space freed by the price reduction is mainly used to adjust the price of medical services, and it is included in the medical insurance payment in time, which generally does not increase the burden on the masses.

2. Improve the economic policy of medical reform.

Fully implement the government's investment responsibility for public hospitals, and incorporate large expenditures such as capital construction into government budget management. Establish a dynamic adjustment mechanism of medical service price to better reflect the medical technical labor value of medical staff and optimize the income structure of public hospitals. At the same time, the reform of charging and paying according to the relevant groups of disease diagnosis was implemented, and the surplus funds were compensated to the hospital.

3. Improve the internal incentive and restraint mechanism of the hospital.

Deepen the reform of the salary system, implement the target salary system for all employees and the work-sharing system for annual salary calculation, and cut off the connection between individual salary and departmental income. The annual salary system for party secretary, dean and chief accountant shall be implemented, and the annual salary shall be arranged by the government budget and paid according to the assessment results. The income of medical staff has increased year by year, and the expenditure structure in the operation of public hospitals has been optimized.

4. Promote the sinking of medical resources.

Establish compact county-level medical institutions, set up a general hospital in each county, integrate medical and health resources, improve the health performance evaluation mechanism, guide the focus of medical and health work to move down and resources to sink, promote the coordination between doctors and nurses, and establish a healthy "gatekeeper" system. Package the medical insurance fund, basic public health service funds and government subsidy funds to general hospitals, keep the balance and share the reasonable cost overruns.

Significance of Sanming medical reform

1. The purpose of Sanming medical reform is to establish a more perfect medical and health system and improve the quality and efficiency of medical services. By promoting the construction of primary medical and health services, strengthening the construction of medical and health personnel, improving the popularity and accessibility of medical and health services, people can get high-quality medical services more conveniently and quickly.

2. Another important significance of Sanming medical reform is to solve the problem of difficult and expensive medical treatment for ordinary people. By promoting the diversification and marketization of medical services, increasing the supply of medical resources, reducing the price of medical services, reducing the medical burden of the people and improving the health level of the people.

3. Sanming medical reform also has important social significance. By promoting the socialization and marketization of medical and health services, we can promote the rational allocation and utilization of medical resources and reduce the waste and redundant construction of medical resources. At the same time, it can also promote the transfer of medical and health services to grassroots and rural areas, narrow the gap between urban and rural medical and health services, and promote the coordinated development of urban and rural areas.